Whalio Doctors

NPI 1699893388

Avenues Dermatology PLLC

Organisation Point of Service Richmond, VA

Practice location

Address
420 Libbie Ave, Richmond, VA 23226-2616
Phone
(804) 288-4410
Fax
(804) 288-4458

Authorised official

Name
Laura S Phieffer
Title
Owner
Phone
(804) 288-4410

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X Licence 0101059025 (VA)

Registry record

NPI
1699893388
Entity type
Organization
NPI issued
27 Mar 2007
Record last updated
25 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.